Complete Following Exercise Explained for Students (Easy Guide)
This question focuses on applying theory to practical scenarios.
What This Question Is About
This question relates to complete following exercise and requires a structured academic response.
How to Approach This Question
Focus on explaining concepts clearly and supporting them with examples.
Key Explanation
This topic involves complete following exercise. A strong answer should include explanation, application, and examples.
Original Question
complete the following exercise. You arrive on the unit for your 12-hour day shift and you are assigned five clients. The reports you receive are below. Client #1 is a 42-year-old female admitted for cholecystitis last night. She is scheduled for a cholecystectomy tomorrow morning. Client is on a clear liquid diet today and will be NPO after midnight for surgery. She is still c/o intermittent RUQ abd pain and has morphine 2 mg IVP ordered q4 hr PRN last dose given at 2am. She has IVF of NS @100ml/hr ordered but her IV site is not working well and will need to be changed today. Vital signs have been stable all night, and otherwise client is independent with ADL. Client #2 is a 38-year-old male who was admitted 4 days ago with ruptured appendix s/p appendectomy. His surgical incision site is infected and requires three different IV antibiotics. The client is homeless with a history of IV drug abuse, and it has been difficult to keep a working IV site. His incision has also been draining a copious amount of serosanguinous discharge requiring changing the dressing frequently. The surgery team is aware and will be rounding on him today. He also has morphine 1mg IVP q3hrs PRN for pain, which he has been requiring every 3 hours. His last dose was at 5am. His VS have been stable all night, but he frequently has been coming out to the nurses station complaining of pain and requesting his medication. Client #3 is a 68-year-old female admitted 2 days ago with a bowel obstruction. She has an NGT in place connected to low suction and is NPO. She is being evaluated for probable bowel surgery today. She has IV LR @125ml/hr and has a good working IV site. Her morning labs show she has a K 3.1, Na 129, and magnesium 1.6. The physician has been notified and has ordered her IVF to be changed to NS @125ml/hr, potassium chloride 10meq IVPB over 1 hr x 3, and magnesium 1gm IVPB over 1 hr. Her VS are BP 98/54 HR 99 RR 20 Temp. 37.1 SPO2 95%. She has been very uncomfortable due to the NGT and anxious over possible surgery today. Client #4 is a 72-year-old male diabetic client s/p amputation to 3rd, 4th, and 5th digits on right foot yesterday. He requires daily dressing changes. The incision site is red but no drainage noted. He has not been compliant with medications at home for his diabetes and his blood sugars have been high all night. He has fingerstick blood sugars ordered q4 hr with sliding scale orders for SQ insulin. Last BS was 324 at 4am. His next BS is due for 8am. He has a PT consult today and is unsteady on his feet and requires assistance to get OOB. VS have been stable. Client #5 is a 29-year-old male quadriplegic due to a spinal cord injury from a motorcycle accident 3 years ago. He is taken care of at home by his parents who are very nice but seem overwhelmed trying to provide his care. He is s/p debridement to pressure wounds. He has three wounds. Stage 4 to sacrum, Stage 3 to right hip, and another Stage 3 to mid-back. Dressing changes are ordered daily and will need to be done prior to discharge. He has a trach and is on a trach collar during the day with 30% O2. He has a PEG tube in place with tube feeding ordered. All his medications are given via PEG tube. His VS are BP 144/78 HR 102 RR 22 Temp 37.3 SPO2 94% on trach collar. He is scheduled to be discharged today after providing education to his parents on wound care and arranging ambulance transport home. After receiving this report, utilizing time management/prioritization strategies, create a grid/table for each client and list the care you need to provide and estimate how much time it will take you to provide that care. Remember to include things such as assessment, medication administration, documentation, and so forth. After completing your grids/tables, answer the following questions: Which client did you allot the most amount of time for care? Why? Which client did you allot the least amount of time for care? Why? If you add up the amount of time allotted for all five clients, does it equal a 12-hour shift? Is it more or less than 12 hours? Did you allot yourself time for a break? How could you rearrange your client care time? What could you delegate or multitask? After receiving the client report, how did you feel about your assignment? Add and cite scholarly references
******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."